TECHNICAL FIELD
[0001] The presently disclosed and claimed inventive concept(s) relate to a device(s), and
method(s) for detecting the presence or non-presence of a patient's liquid test sample
utilized for the conductance of at least one diagnostic assay. More specifically,
the presently disclosed and claimed inventive concept(s) relate to an improved device(s)
comprising at least one sample flag compound for detecting the presence or non-presence
of a patient's liquid test sample upon being interrogated by a pre-determined wavelength
of light, as well as methods related thereto and its use in a diagnostic assay.
BACKGROUND
[0002] Numerous devices, kits, and methods exist for conducting assays that detect analytes
that may be present in a patient's liquid test samples. Such devices have been proven
to be effective in diagnostic assays that detect the presence and quantity of certain
analytes indicative of a patient's health, including, glycated hemoglobin (HbA1c),
microalbumin and creatinine, and lipid-based analytes, such as cholesterol, triglycerides,
and/or high-density lipoproteins. It is common that such devices utilize a capillary
or capillary-like component for the injection of the patient's liquid test sample
(for instance, by way of example only, a patient's urine sample) into a reaction cassette
for the conductance of at least one automated diagnostic assay within an analyzer.
However, these devices, kits, and methods are limited in that it is difficult for
them to differentiate between the presence of a patient's dilute liquid test sample
(dilute urine) and a capillary in which the operator neglected to add the patient's
liquid test sample. Current methods and devices exist to detect the presence of a
patient's liquid test sample in a diagnostic assay system, including cameras, submersible
test strips, and/or reagent(s) stored in a sample read window(s). Such,
US 2007/0131565 A1 discloses a method and a sensor for measuring a blood component by causing a redox
reaction of the component and detecting an oxidation or reduction current caused by
the redox reaction by an electrode. The sensor comprises a channel into which blood
is drawn by capillary action and led to the sensor. The sensor comprises a first and
a second electrode system, wherein the counter electrode has a mediator provided thereon.
A preferred mediator is ferricyanide.
US5 624 850 is directed to competitive and sandwich immunoassays in which a capillary is employed.
The inner surface of the capillary is coated with a capture-specific binding member.
In the
WO 2016/012778 A1 a capillary assay with an internal hydrophilic coating is described. The hydrophilic
coating comprises a reagent that can be released into a sample flowing through the
capillary.
EP 0 330 517 A2 discloses a colorimetric assay system for the detecting an analyte in a sample by
a color change. The system comprises a capillary measuring area comprising a multilayer
film. At least one layer of the film contains a linear gradient of and electron acceptor.
Preferred electron acceptors are ferricyanide and ferric oxalate. However, such current
methods and devices are relatively expensive and require continual maintenance. Accordingly,
a need exists for cost effective devices and methods that determine the presence or
non-presence of a patient's liquid test sample prior to the initiation of at least
one diagnostic test, such as, by way of example, a microalbumin creatinine test on
a patient's urine sample. It is to such devices and methods that the presently disclosed
and claimed inventive concept(s) is directed.
SUMMARY OF THE INVENTION
[0003] The objects set forth above have been achieved with a capillary as claimed in claim
1, which is internally coated with at least one flag compound selected from the groups
consisting metabisulfite, taurine and combination thereof and is capable of emitting
a detectable signal when interrogated by specific wavelength(s) of visible light in
the presence of a patient's liquid test sample. It is preferably used in a microalbumin
creatinine diagnostic assay, as claimed in claim 14. The internal surface of the capillary
may be coated by a method as claimed in claim 4. A further object has been achieved
by a method for detecting the presence or non-presence of a patient's test sample
within a liquid test sample dispensing device as claimed in claim 13.
DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS
[0004]
Figure 1 is a perspective view of one embodiment of a liquid test sample dispensing
device utilized in accordance with the presently disclosed and/or claimed inventive
concept(s).
Figure 2 is an enlarged, perspective view of the capillary portion of the liquid test
sample dispensing device of FIG. 1.
Figure 3A is a perspective view of the capillary portion of FIG. 2 in which at least
one inner surface of the capillary is in fluid contact with a solution in accordance
with the presently disclosed and/or claimed inventive concept(s).
Figure 3B is a perspective view of the capillary portion of FIG. 3A in which the liquid
test sample dispensing device has been placed in a commercial-grade dryer to evaporate
the at least one alcohol solvent from the solution in accordance with the presently
disclosed and/or claimed inventive concept(s).
Figure 4 is a perspective view of the liquid test sample dispensing device of FIG.
1 in which the at least one inner surface of the capillary is coated with a sample
flag compound(s) in accordance with presently disclosed and/or claimed inventive concept(s)
and the liquid test sample dispensing device has been inserted into a reaction vessel
for the conductance of at least one diagnostic assay.
Figures 5A—5H are perspective views of an alternative embodiment of a method for coating
at least one inner surface of a plurality of capillaries with a sample flag comprising
a sample flag compound via fluid communication between the at least one inner surface
of the plurality of capillaries with a solution in accordance with the presently disclosed
and/or claimed inventive concept(s).
Figure 6 shows an embodiment of an experimental setup utilized in accordance with
the presently disclosed and/or claimed inventive concept(s) in which the combined
solution is injected into a capillary.
Figure 7 depicts a graphical representation showing the centroid and approximate full
width half max (FWHM) of three LED lights present in diagnostic assay system/instrument
overlaid on the spectrum of the ferricyanide sample flag compound in accordance with
the presently disclosed and/or claimed inventive concept(s).
Figure 8 depicts a graphical representation showing that the addition of a ferricyanide
sample flag does not negatively impact the range of the diagnostic assay's high and
low control solutions.
Figure 9 depicts a boxplot graphical representation showing the average absorbance
readings of various mixtures of a ferricyanide sample flag compound (with and without
mixture of a patient's liquid test sample) at a wavelength of about 425 nanometers
in accordance with the presently disclosed and/or claimed inventive concept(s).
Figure 10 depicts a boxplot graphical representation showing the average absorbance
readings of various mixtures of a ferricyanide sample flag compound (with and without
mixture of a patient's liquid test sample) at a wavelength of about 536 nanometers
in accordance with the presently disclosed and/or claimed inventive concept(s).
Figure 11 depicts a boxplot graphical representation showing the average absorbance
readings of various mixtures of a ferricyanide sample flag compound (with and without
mixture of a patient's liquid test sample) at a wavelength of about 725 nanometers
in accordance with the presently disclosed and/or claimed inventive concept(s).
DETAILED DESCRIPTION
[0005] The inventive concept(s) is capable of other embodiments or of being practiced or
carried out in various ways. As such, the language used herein is intended to be given
the broadest possible scope and meaning; and the embodiments are meant to be exemplary-not
exhaustive. Also, it is to be understood that the phraseology and terminology employed
herein is for the purpose of description.
[0006] Unless otherwise defined herein, scientific and technical terms used in connection
with the presently disclosed and claimed inventive concept(s) shall have the meanings
that are commonly understood by those of ordinary skill in the art. Further, unless
otherwise required by context, singular terms shall include pluralities and plural
terms shall include the singular. The foregoing techniques and procedures are generally
performed according to conventional methods well known in the art and as described
in various general and more specific references that are cited and discussed throughout
the present specification. The nomenclatures utilized in connection with, and the
laboratory procedures and techniques of, analytical chemistry, synthetic organic chemistry,
and medicinal and pharmaceutical chemistry described herein are those well-known and
commonly used in the art.
[0007] All patents, published patent applications, and non-patent publications mentioned
in the specification are indicative of the level of skill of those skilled in the
art to which this presently disclosed and claimed inventive concept(s) pertains.
[0008] All of the devices and/or methods disclosed and claimed herein can be made and executed
without undue experimentation in light of the present disclosure. While the compositions
and methods of this presently disclosed and claimed inventive concept(s) have been
described in terms of preferred embodiments, it will be apparent to those of skill
in the art that variations may be applied to the compositions and/or methods and in
the steps or in the sequence of steps of the method described herein.
[0009] As utilized in accordance with the present disclosure, the following terms, unless
otherwise indicated, shall be understood to have the following meanings:
The use of the word "a" or "an" when used in conjunction with the term "comprising"
in the claims and/or the specification may mean "one," but it is also consistent with
the meaning of "one or more," "at least one," and "one or more than one." The singular
forms "a," "an," and "the" include plural referents unless the context clearly indicates
otherwise. Thus, for example, reference to "a compound" may refer to 1 or more, 2
or more, 3 or more, 4 or more or greater numbers of compounds. The term "plurality"
refers to "two or more." The use of the term "or" in the claims is used to mean "and/or"
unless explicitly indicated to refer to alternatives only or the alternatives are
mutually exclusive, although the disclosure supports a definition that refers to only
alternatives and "and/or." Throughout this application, the term "about" is used to
indicate that a value includes the inherent variation of error for the device, the
method being employed to determine the value, or the variation that exists among the
study subjects. For example, when the term "about" is utilized, the designated value
may vary by ± 20% or ± 10%, or ± 5%, or ± 1%, or ± 0.1% from the specified value,
as such variations are appropriate to perform the disclosed methods and as understood
by persons having ordinary skill in the art. The use of the term "at least one" will
be understood to include one as well as any quantity more than one, including 2, 3,
4, 5, 10, 15, 20, 30, 40, 50, 100, etc. The term "at least one" may extend up to 100
or 1000 or more, depending on the term to which it is attached; in addition, the quantities
of 100/1000 are not to be considered limiting, as higher limits may also produce satisfactory
results. In addition, the use of the term "at least one of X, Y and Z" will be understood
to include X alone, Y alone, and Z alone, as well as any combination of X, Y and Z.
The use of ordinal number terminology (i.e., "first", "second", "third", "fourth",
etc.) is solely for the purpose of differentiating between two or more items and is
not meant to imply any sequence or order or importance to one item over another or
any order of addition, for example.
[0010] As used in this specification and claim(s), the terms "comprising" (and any form
of comprising, such as "comprise" and "comprises"), "having" (and any form of having,
such as "have" and "has"), "including" (and any form of including, such as "includes"
and "include") or "containing" (and any form of containing, such as "contains" and
"contain") are inclusive or open-ended and do not exclude additional, unrecited elements
or method ste ps.
[0011] The term "or combinations thereof" as used herein refers to all permutations and
combinations of the listed items preceding the term. For example, "A, B, C, or combinations
thereof" is intended to include at least one of: A, B, C, AB, AC, BC, or ABC, and
if order is important in a particular context, also BA, CA, CB, CBA, BCA, ACB, BAC,
or CAB. Continuing with this example, expressly included are combinations that contain
repeats of one or more item or term, such as BB, AAA, AAB, BBC, AAABCCCC, CBBAAA,
CABABB, and so forth. The skilled artisan will understand that typically there is
no limit on the number of items or terms in any combination, unless otherwise apparent
from the context.
[0012] As used herein, the term "substantially" means that the subsequently described event
or circumstance completely occurs or that the subsequently described event or circumstance
occurs to a great extent or degree. For example, the term "substantially" means that
the subsequently described event or circumstance occurs at least 90% of the time,
or at least 95% of the time, or at least 98% of the time.
[0013] As used herein, the phrase "associated with" includes both direct association of
two moieties to one another as well as indirect association of two moieties to one
another. Examples of associations include covalent binding of one moiety to another
moiety either by a direct bond or through a spacer group, non-covalent binding of
one moiety to another moiety either directly or by means of specific binding pair
members bound to the moieties, incorporation of one moiety into another moiety such
as by dissolving one moiety in another moiety or by synthesis, and coating one moiety
on another moiety.
[0014] The term "liquid test sample" as used herein will be understood to include any type
of biological fluid sample that may be utilized in accordance with the presently disclosed
and claimed inventive concept(s). Examples of biological samples that may be utilized
include whole blood or any portion thereof (i.e., plasma or serum), saliva, sputum,
cerebrospinal fluid (CSF), intestinal fluid, intraperitoneal fluid, cystic fluid,
sweat, interstitial fluid, tears, mucus, urine, bladder wash, semen, combinations,
and the like. The volume of the sample utilized in accordance with the presently disclosed
and claimed inventive concept(s) is from about 0.1 to about 100 microliters. As used
herein, the term "volume" as it relates to the liquid test sample utilized in accordance
with the presently disclosed and claimed inventive concept(s) means from about 0.1
microliter to about 100 microliters, or from about 1 microliter to about 75 microliters,
or from about 2 microliters to about 60 microliters, or less than or equal to about
50 microliters, or less than or equal to about 40 microliters. In one embodiment of
the presently disclosed and/or claimed inventive concept(s), the liquid test sample
is about 40 microliters of urine.
[0015] The term "sugar(s)" as used herein means any substance in the class of soluble, crystalline
carbohydrates that comprise monosaccharides, disaccharides, oligosaccharides, polysaccharides,
and combinations thereof. Examples of sugars utilized in accordance with the presently
disclosed and/or claimed inventive concept(s) include fructose, galactose, glucose,
lactose, maltose, sucrose, and combinations thereof. In one embodiment, the sugar
comprises and/or consists of sucrose.
[0016] The terms "alcohol(s)" and/or "alcohol solvent(s)" as used herein means any organic
compound in which at least one hydroxyl functional group (-OH) is bound to at least
one carbon atom. Examples of alcohols which may be utilized in accordance with the
presently disclosed and/or claimed inventive concept(s) include monohydric, polyhydric,
unsaturated aliphatic, alicyclic alcohols, and combinations thereof, including methanol,
ethanol, propanol, butanol, pentanol, cetyl alcohol, ethylene glycol, propylene glycol,
glycerol, erythritol, xylitol, mannitol, volemitol, allyl alcohol, geraniol, propargyl
alcohol, inositol, menthol, and combinations thereof.
[0017] The term "sample flag compound(s)" as used herein means a compound(s) that emits
a detectable signal, such as, by way of example, an absorbance change, when interrogated
by a specific wavelength of visible light (for instance, by way of example only, a
425-nanometer wavelength of light) in the presence of a patient's liquid test sample.
Examples of sample flag compound(s) utilized in accordance with the presently disclosed
and/or claimed inventive concept(s) include ferricyanide (FeCN)-containing compounds
(such as, by way of example only, potassium ferricyanide), metabisulfite, taurine,
and other sulfur-based and/or sulfur-containing compound(s).
[0018] The terms "capillary action" and/or "capillary force" as used herein will be understood
to include the interaction between contacting surfaces of a liquid and a solid that
distorts the liquid surface from a planar shape and causes the liquid to rise, fall,
or remain contained in a narrow tube, channel, and/or cavity. By way of example only,
capillary action includes: (1) the wicking of a solution comprising a sample flag
compound, at least one protein (such as, by way of example only, bovine serum albumin
(BSA)), at least one sugar, and at least one alcohol into the capillary of the liquid
test sample dispensing device; and (2) the wicking of the patient's liquid test sample
into the capillary of the liquid test sample dispensing device, such that the liquid
test sample remains in the capillary until agitated.
[0019] The term "patient" includes human and veterinary subjects. In certain embodiments,
a patient is a mammal. In certain other embodiments, the patient is a human. "Mammal"
for purposes of treatment refers to any animal classified as a mammal, including human,
domestic and farm animals, nonhuman primates, and zoo, sports, or pet animals, such
as dogs, horses, cats, cows, etc.
[0020] The term "reaction vessel" includes any device(s) capable of performing at least
one diagnostic assay as described herein. The reaction vessel may perform the diagnostic
assay(s) manually, but, in most instances, the reaction vessel will be inserted into
a system that automates the performance of the diagnostic assay(s). In one embodiment,
the reaction vessel comprises a reaction cassette for use in automated diagnostic
assays conducted by the DCA Vantage
® Analyzer commercially available from Siemens Healthcare Diagnostics, Inc.; however,
a person having ordinary skill in the art should readily appreciate that the presently
disclosed and/or claimed inventive concept(s) can be utilized on any diagnostic assay
system that conducts at least one diagnostic assay on a patient's liquid test sample.
[0021] Turning now to particular embodiments, the presently disclosed and claimed inventive
concept(s) relate to a device(s) and method(s) for chemically-detecting the presence
or non-presence of a patient's liquid test sample which may be contained in a specimen
holder, such as, by way of example only, a capillary. More specifically, the presently
disclosed and claimed inventive concept(s) relate to an improved device(s) comprising
at least one chemical flag for detecting the presence or non-presence of a patient's
liquid test sample within a specimen holder upon the specimen holder being interrogated
by a pre-determined wavelength of light, as well as methods of use related thereto.
[0022] It is contemplated that virtually any reagent used in the fields of biological, chemical,
or biochemical analyses and assays could be used in the devices and methods of the
presently claimed and disclosed inventive concept(s). It is contemplated that these
reagents may undergo physical and/or chemical changes when bound to an analyte of
interest whereby the intensity, nature, frequency, or type of signal generated by
the reagent-analyte complex is directly proportional or inversely proportional to
the concentration of the analyte existing within the fluid sample. These reagents
may contain indicator dyes, metal, enzymes, polymers, antibodies, and electrochemically
reactive ingredients and/or chemicals that, when reacting with an analyte(s) of interest,
may exhibit change in color.
[0023] Any method of detecting and measuring the analyte in a fluid sample can be used in
the devices and methods of the presently claimed and inventive concepts. A variety
of assays for detecting analytes are well known in the art and include chemical assays,
enzyme inhibition assays, antibody stains, latex agglutination, latex agglutination
inhibition and immunoassays, such as, radioimmunoassays. The term "antibody" herein
is used in the broadest sense and refers to, for example, intact monoclonal antibodies,
polyclonal antibodies, multi-specific antibodies (e.g., bispecific antibodies), and
to antibody fragments that exhibit the desired biological activity (e.g., antigen/analyte-binding).
The antibody can be of any type or class (e.g., IgG, IgE, IgM, IgD, and IgA) or sub-class
(e.g., IgG1, IgG2, IgG3, IgG4, IgA1, and IgA2).
[0024] While immunoassays (including sequential analytical chemical and immunoassays) are
primarily discussed herein for the detection of at least one analyte of interest present
in a liquid test sample, a person having ordinary skill in the art should readily
understand that the presently disclosed and claimed inventive concept(s) are not strictly
limited to immunoassays and may include, by way of example chemical and chemical-based
assays, nucleic acid assays, lipid-based assays, and serology-based assays. Immunoassays,
including radioimmunoassays and enzyme-linked immunoassays, are useful methods for
use with the presently claimed and disclosed inventive concepts. A variety of immunoassay
formats, including, for example, competitive and non-competitive immunoassay formats,
antigen/analyte capture assays and two-antibody sandwich assays can be used in the
methods of the invention. Enzyme-linked immunosorbent assays (ELISAs) can be used
in the presently claimed and disclosed inventive concepts, as well. In the case of
an enzyme immunoassay, an enzyme is typically conjugated to a second antibody, generally
by means of glutaraldehyde, periodate, hetero-bifunctional crosslinking agents, or
biotin-streptavidin complexes. As will be readily recognized, however, a wide variety
of different conjugation techniques exist which are readily available for use with
the presently disclosed and claimed inventive concept(s) to one skilled in the art.
[0025] Assays, including immunoassays, nucleic acid capture assays, lipid-based assays,
and serology-based assays, can be developed for a multiplexed panel of proteins, peptides,
and nucleic acids which may be contained within a liquid test sample, with such proteins
and peptides including, for example albumin, microalbumin, cholesterol, triglycerides,
high-density lipoproteins, low-density lipoproteins, hemoglobin, myoglobin, α-1-microglobin,
immunoglobins, enzymes, proteins, glycoproteins, protease inhibitors, drugs, cytokines,
creatinine, and glucose. The device(s) and method(s) disclosed and/or claimed herein
may be used for the analysis of any liquid test sample, including whole blood, plasma,
serum, or urine. In one embodiment, the liquid test sample is about 40 microliters
of urine.
[0026] Referring now to the Figures, and more particularly to FIG. 1, shown therein is an
embodiment of a liquid test sample dispensing device 10 that both collects a patient's
liquid test sample and dispenses the patient's liquid test sample into a reaction
vessel for the conductance of at least one diagnostic assay. The liquid test sample
dispensing device 10 comprises a body 14, a liquid waste collector 16, and a capillary
18.
[0027] In one embodiment, and as shown in FIG. 1, the body 14 comprises a first side 22,
a second side 26, a third side 30, a fourth side 34, a first end 38, and a second
end 42. While depicted in FIG. 1 as comprising four sides, it should be readily understood
that the body 14 can comprise any number of sides that accomplishes the presently
disclosed and/or claimed inventive concept(s), including the body 14 may comprise
1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 30, 40, 50,
60, 70, 80, 90, or greater than or equal to 100 sides. In addition, while shown in
FIG. 1 as being substantially rectangular in shape, the body 14 can be configured
to be any shape that accomplishes the presently disclosed and/or claimed inventive
concept(s), including cylindrical, ovular, triangular prism, cube, rectangular prism,
trapezoidal prism, pentagonal prism, hexagonal prism, heptagonal prism, octagonal
prism, nonagonal prism, decagonal prism, or any polygonal prism (in which case, the
number of sides will comport with the particular shape of the body 14-i.e., an octagonal
prism-shaped body 14 comprises eight sides/faces). As shown in greater detail in FIG.
4, the body 14 of the liquid test sample dispensing device 10 is configured so as
to be received in a reaction vessel wherein a patient's liquid test sample is dispensed
from the capillary 18 into the reaction vessel for the conductance of at least one
diagnostic assay, such as, by way of example only, a microalbumin creatinine diagnostic
assay.
[0028] In certain embodiments, the body 14 (and/or the capillary 18) is fabricated as a
molded, unitary component formed of a rigid plastic material (so as to avoid deformation
of the body 14 when both collecting a patient's liquid test sample and/or inserting
the body into a reaction vessel), including, for example, synthetic and/or naturally-occurring
or derived polymers (both organic and/or inorganic), such as, by way of example only,
thermoplastic polymer(s), thermoset polymer(s), elastomer(s), and/or synthetic fiber(s)
such as low-density polyethylene, high-density polyethylene, polystyrene, polyvinylchloride,
styrene butadiene, acrylic(s), polyacrylics, and polyvinyl acetate, and/or soda-lime,
and combinations thereof. However, a person having ordinary skill in the art should
readily appreciate that the body 14 may be constructed of any material capable of
accomplishing the presently disclosed and/or claimed inventive concept(s). In one
embodiment (as shown in FIG. 1), the body 14 of the liquid test sample dispensing
device 10 is constructed such that the area defined by the first side 22, second side
26, third side 30, and fourth side 34 of the body 14 is hollow, in which the liquid
waste collector 16 resides. In one embodiment, the first side 22 and the third side
30 are open such that the liquid waste produced as a by-product during the conductance
of at least one diagnostic assay is brought into contact with the liquid waste collector
16 for the removal and containment of the liquid waste; however, a person having ordinary
skill in the art should readily understand that any or all of the sides of the body
14 may be open to allow for the interface between the liquid waste and the liquid
waste collector 16.
[0029] In another embodiment, the area defined by the first side 22, second side 26, third
side 30, and fourth side 34 of the body 14 need not be hollow (or include the liquid
waste collector 16). For instance, by way of example only, the area defined by the
first side 22, second side 26, third side 30, and fourth side 34 of the body 14 may
be solid, with no hollow spaces defined therein. In addition, rather than comprising
the liquid waste collector 16, a plurality of micro-cavities (not shown) may be disposed
on and formed in one or all of the first side 22, second side 26, third side 30, and
fourth side 34 of the body 14 for the collection of liquid waste produced as a by-product
of conducting at least one diagnostic assay.
[0030] The liquid waste collector 16 is adapted to and formed of a material(s) that collects
the liquid waste produced as a by-product of conducting at least one diagnostic assay.
While shown in FIG. 1 as being substantially cylindrical in shape, a person having
ordinary skill in the art should understand that the liquid waste collector 16 can
be any shape capable of accomplishing the presently disclosed and/or claimed inventive
concept(s), including triangular prism, cube, rectangular prism, trapezoidal prism,
pentagonal prism, hexagonal prism, heptagonal prism, octagonal prism, nonagonal prism,
decagonal prism, or any polygonal prism (in which case, the number of sides will comport
with the particular shape of the liquid waste collector 16-i.e., an octagonal prism-shaped
liquid waste collector 16 comprises eight sides/faces). The liquid waste collector
16 can be constructed of any material or combination of materials that accomplishes
the presently disclosed and/or claimed inventive concept(s), namely the absorbance
and containment of liquid waste (which comprises a combination of used and unused
diagnostic assay reaction reagents and the patient's liquid test sample). Such materials
include cellulosic or fiber-based products, including paper, cotton, sponge, and cellulose
acetate, as well as polymeric materials, including superabsorbent polymers, and any
combinations of any of the above.
[0031] The capillary 18 is adapted to collect a patient's liquid test sample and to subsequently
dispense/inject the liquid test sample into a reaction vessel. In addition, as shown
in greater detail in FIG. 3A, the capillary 18 is adapted to collect a solution comprising
and/or consisting of, in one embodiment, a sample flag compound, at least one protein
(such as, by way of example only, bovine serum albumin (BSA)), at least one sugar,
and at least one alcohol. In one embodiment, the capillary 18 collects the solution
and the patient's liquid fluid sample via capillary action when the capillary 18 is
in contact with the solution and/or the patient's liquid test sample, respectively.
However, a person having ordinary skill in the art should readily appreciate that
the solution and/or the patient's liquid test sample can be collected by the capillary
18 via any method commonly known in the art, including via creation of a negative
pressure differential that draws either the solution and/or the patient's liquid test
sample into the capillary 18. The capillary 18 can be constructed of any material(s)
commonly known in the art, including glass and/or chemically-inert plastic(s). The
size and volume-capacity of the capillary 18 will vary depending on: (1) the volume
of solution necessary to substantially uniformly coat at least one inner surface of
the capillary 18; and (2) the type and quantity of the patient's liquid test sample
being collected. In certain embodiments, the capillary 18 may be adapted and sized
to hold volumes of from about 0.1 microliter to about 100 microliters, or from about
0.5 microliters to about 95 microliters, or from about 1 microliter to about 90 microliters,
or from about 2 microliters to about 85 microliters, or from about 5 microliters to
about 80 microliters, or from about 10 microliters to about 75 microliters, or from
about 15 microliters to about 70 microliters, or from about 20 microliters to about
65 microliters, or from about 25 microliters to about 60 microliters, or from about
30 microliters to about 55 microliters, or from about 35 to about 50 microliters,
or less than or equal to about 40 microliters. By way of example only, the volume
capacity of the capillary 18 is about 40 microliters when the patient's liquid test
sample is urine. In one embodiment, and as shown in greater detail in FIGS. 2 and
3A-3D, a first end 51 of the capillary 18 extends through the second end 42 of the
body 14 wherein at least a portion of the capillary 18 remains external to the body
14 for collection of the solution and/or the patient's liquid test sample.
[0032] In addition, while depicted in FIG. 1 as being substantially cylindrical in shape,
it should be readily understood to a person having ordinary skill in the art that
the capillary 18 may be any shape capable of accomplishing the presently disclosed
and/or claimed inventive concept(s), including triangular prism, cube, rectangular
prism, trapezoidal prism, pentagonal prism, hexagonal prism, heptagonal prism, octagonal
prism, nonagonal prism, decagonal prism, or any polygonal prism (in which case, the
number of sides will comport with the particular shape of the capillary 18-i.e., an
octagonal prism-shaped capillary 18 comprises eight sides/faces). In one embodiment,
the capillary 18 is substantially cylindrical in shape. In addition, the capillary
18 is adapted to receive liquid materials via capillary action.
[0033] Referring now to FIG. 2, shown therein is an enlarged, perspective view of the capillary
portion 19 of the improved liquid test sample dispensing device 10 of FIG. 1. As shown
in FIG. 2, the capillary portion 19 comprises the capillary 18, the capillary 18 further
comprising at least one outer surface 46, at least one inner surface 50, a first end
51, a second end 52, a starch plug 53, and an opening 54 located at the second end
52 for receiving and dispensing a patient's liquid test sample and/or the solution
via, by way of example only, capillary action.
[0034] Referring now to FIG. 3A, shown therein is a perspective view of the capillary portion
19 of FIG. 2 in which the at least one inner surface 50 of the capillary 18 is in
fluid contact with a solution 62 comprising and/or consisting of a sample flag compound,
at least one protein (such as, by way of example only, bovine serum albumin (BSA)),
at least one sugar, and at least one alcohol. As previously discussed with respect
to FIG. 2, the capillary portion 19 comprises the capillary 18, the capillary 18 further
comprising at least one outer surface 46, at least one inner surface 50, a first end
51, a second end 52, and an opening 54 at the second end 52.
[0035] In one embodiment of the presently disclosed and/or claimed inventive concept(s),
the solution 62 is formed from the combination two or more separate solutions. By
way of example only, the solution 62 may be formed from the combination of a first
solution comprising and/or consisting of a sample flag compound, at least one protein,
and at least one sugar and a second solution comprising and/or consisting of at least
one alcohol (or other water-soluble compound with low sample flag compound solubility).
In one embodiment the first solution comprises potassium ferricyanide sample flag
compound at a concentration of about 15 milligrams/milliliter, bovine serum albumin
(BSA) at a concentration of about 6% based on the volume of the first solution, and
sucrose at a concentration of about 15% based on the volume of the first solution.
In one embodiment, the second solution comprises methanol, ethanol, isopropyl alcohol,
and/or combinations thereof. While certain embodiments of the presently disclosed
and/or claimed inventive concept(s) include specific amounts and/or concentrations
of the constituents forming the first and second solutions (and the combined solution
62), a person having ordinary skill in the art should readily appreciate that the
amounts and concentrations of the various constituents can be in any amount(s) and/or
concentration(s) or ranges thereof capable of accomplishing the presently disclosed
and/or claimed inventive concept(s). In one embodiment, the ratio of the first solution
to the second solution comprising the solution 62 is about 1:1, 1:2, 1:3, 1:4, 1:5,
1:6, 1:7, 1:8, 1:9, 1:10, 1:11, 1:12, 1:13, 1:14, 1:15, 1:16, 1:17, 1:18, 1:19, 1:20;
however, a person having ordinary skill in the art should appreciate that the solution
62 may comprise any ratio of the first solution to the second solution provided that
the solution 62 emits a detectable signal when interrogated with a certain wavelength
of light (for instance, by way of example, a 425 nanometer wavelength of light) when
the patient's liquid test sample is in fluid communication with the dried solution
62. In one embodiment, the ratio of first solution to second solution in the solution
62 is about 1:12.57.
[0036] In one embodiment, the volume of solution 62 present within the capillary 18 ranges
from about 1 microliter to about 100 microliters, or from about 5 microliters to about
95 microliters, or from about 10 microliters to about 90 microliters, or from about
15 microliters to about 85 microliters, or from about 20 microliters to about 80 microliters,
or from about 25 microliters to about 75 microliters, or from about 30 microliters
to about 70 microliters, or from about 35 microliters to about 65 microliters, or
from about 40 microliters to about 60 microliters, or from about 45 microliters to
about 55 microliters, or greater than or equal to about 50 microliters. In one embodiment
of the presently disclosed and/or claimed inventive concept(s), the volume of solution
62 present within the capillary 18 is about 35 microliters.
[0037] In one embodiment of the presently disclosed and/or claimed inventive concept(s),
the capillary portion 19 is placed within a receptacle 58 containing the (as described
elsewhere herein) combined solution 62 comprising and/or consisting of a sample flag
compound, at least one protein, at least one sugar, and at least one alcohol. In order
to ensure that the constituents remain equally dispersed throughout the solution 62,
an inert stirring device, such as, by way of example only, an inert, magnetic stir
bar 66 can be used in conjunction with a magnetic stirrer 70 for the continuous mixing
of the solution 62 within the receptacle 58. Examples of commercially available magnetic
stirrers are commonly known in the art. In addition, while shown in FIG. 3A as comprising
a receptacle 58, a magnetic stir bar 66, and a magnetic stirrer 70, it should be readily
understood to a person having ordinary skill in the art that the solution 62 may be
mixed via any method commonly known in the art, including, by way of example only,
via commercial-grade mixers that allow for the mixing of larger batches of the solution
62 in order to, as shown in greater detail in FIGS. 5A—5H, coat the internal surfaces
of multiple capillaries simultaneously either via continuous or batch-processing methods.
While shown in FIG. 3A as a single capillary 18, it should be readily understood to
a person having ordinary skill in the art that the process of coating at least one
inner surface 50 of the capillary 18 can be accomplished in a batch or continuous
automated manufacturing process in which the inner surfaces of capillaries of multiple
liquid test sample dispensing devices are simultaneously coated with the solution
62.
[0038] As shown in FIG. 3A, in one embodiment, the capillary portion 19 is placed within
the receptacle 58 such that the opening 54 of the capillary 18 is submerged within
the solution 62. As a result of this submersion, the solution 62 wicks into the capillary
18 via capillary action (as shown by upward arrow x) through the opening 54 such that
the solution 62 is in fluid communication with at least one portion of the inner surface
50 of the capillary 18. While shown in FIG. 3A as entering through the opening 54
via capillary action, a person having ordinary skill in the art should readily appreciate
that the solution 62 need not be passively wicked into the capillary 18 through the
opening 54; rather, the solution 62 may be actively injected into the capillary either
through the opening 54 or during the manufacturing process of the capillary 18.
[0039] Referring now to FIG. 3B, once the solution 62 has been wicked into the capillary
18 via capillary action and is contained therein, the capillary portion 19 (or the
entirety of the liquid test sample dispensing device 10) is, in one embodiment, heated
to evaporate off and remove the at least one alcohol solvent contained within the
solution 62. The heating is conducted at a temperature that is high enough to evaporate
the alcohol solvent, but low enough so as not to melt the sample flag compound which
is deposited on the at least one inner surface 50 of the capillary 18 as the alcohol
solvent evaporates. In one embodiment, the at least one alcohol is selected from the
group consisting of methanol, ethanol, isopropyl alcohol, and combinations thereof,
and the solution 62 contained within the capillary 18 is heated to and maintained
at a temperature from about 20° C to about 100°, or from about 25° C to about 95°
C, or from about 30° C to about 90° C, or from about 35° C to about 85° C, or from
about 40° C to about 80° C, or from about 45° C to about 75° C, or from about 50°
C to about 70° C, or from about 55° C to about 65° C, or from about greater than or
equal to 60° C. In one embodiment, the capillary portion 19 is heated to a temperature
in a range of from about 25° C to about 37° C to evaporate off and remove the alcohol
solvent from the solution 62 contained within the capillary 18. The capillary portion
19 can be heated via any method commonly known in the art provided that the solution
62 remains in contact with the at least one inner surface 50 of the capillary 18 prior
to and during the evaporation of the at least one insoluble volatile compound(s),
including via commercial-grade dryers and/or vacuum dryers commonly known in the art.
Additionally, the capillary portion 19 may not be heated at all, allowing for the
evaporation of the at least one alcohol solvent to occur naturally under room temperature
conditions.
[0040] In addition to alcohol solvent evaporation technique, the deposition of the sample
flag compound(s) on at least one inner surface 50 of the capillary 18 may be accomplished
via any methodology(-ies) that accomplish the presently disclosed and/or claimed inventive
concept(s), including: (1) inclusion of the sample flag compound(s) in the starch
plug 53 (shown in greater detail in FIG. 2) during the manufacturing process of the
liquid test sample dispensing device 10 (or the capillary 18, if manufactured separately)-the
sample flag compound(s) diffusing out of the starch plug and mixing with the patient's
liquid test sample when such liquid test sample is present within the capillary 18;
and/or (2) the sample flag compound(s) may be incorporated into the material forming
the capillary 18 during the manufacturing process of the liquid test sample dispensing
device 10 (or the capillary 18, if manufacture separately).
[0041] Referring now to FIG. 4, shown therein is a perspective view of the liquid test sample
dispensing device 10 of FIG. 1 in which at least one inner surface 50 of the capillary
18 is coated with a sample flag compound(s) (as described elsewhere herein) and the
liquid test sample dispensing device 10 has been inserted into a reaction vessel 82
for the conductance of at least one diagnostic assay. Following the collection of
a patient's liquid test sample into the capillary 18 of the liquid test sample dispensing
device 10, the patient's liquid test sample mixes with and dissolves the sample flag
compound(s) deposited on the at least one inner surface 50 of the capillary 18 to
form a sample mixture 78. The liquid test sample dispensing device 10 is then inserted
into and secured within a reaction chamber 86 of a reaction vessel 82.
[0042] Once secured within the diagnostic assay system/instrument, the capillary 18 is interrogated
with a pre-determined wavelength of light via at least one system light source(s)
(not shown) that passes through, by way of example only, a sample read window 88 of
the reaction cassette 82 to interrogate the capillary 18. If the sample mixture 78
is present within the capillary 18 (even if the patient's liquid test sample within
the sample mixture 78 is extremely dilute), a detectable signal is emitted from the
sample mixture 78 (i.e., a change/shift in absorbance which can be measured by, for
instance, a spectrophotometer which may be separate from or integrated into the diagnostic
assay system/instrument) when interrogated with the particular wavelength of visible
light from the light source(s). If the sample mixture 78 is not present within the
capillary 18 (due to, by way of example only, the patient's liquid test sample either
having not been collected in the capillary or if such liquid test sample has leaked
out of the capillary 18 prior to insertion of the liquid test sample dispensing device
10 into the reaction chamber 86 of the reaction cassette 82), a detectable signal
is not emitted when the capillary 18 is interrogated with the particular wavelength
of visible light. Accordingly, the sample flag compound(s) are utilized as effective
liquid test sample flags in which the presence of a patient's liquid test sample within
a capillary 18 is verified prior to the conductance of at least one diagnostic assay
within a diagnostic assay system/instrument (due to the emittance of a detectable
signal when the sample mixture 78 is interrogated with a particular wavelength of
visible light, such as, by way of example only, a 480 nanometer wavelength of light).
[0043] The diagnostic assay system/instrument may comprise any number of light sources that
accomplishes the presently disclosed and/or claimed inventive concept(s), including
1, 2, 3, 4, 5, 6, 7, 8, 9, or equal to or greater than 10 light sources. In one embodiment,
the light source(s) is/are light emitting diode (LED) lights; however, a person having
ordinary skill in the art should readily appreciate that the light source(s) need
not be LED light(s) to accomplish the presently disclosed and/or claimed inventive
concept(s) and can include incandescent bulb light sources, laser light sources, and
any combinations thereof. In one embodiment, the wavelengths of light generated by
the various light source(s) are in the visible spectrum typically ranging from about
380 nanometers to about 800 nanometers. In one embodiment, and as discussed in greater
detail hereinbelow, the diagnostic assay system/instrument comprises and/or consists
of at least three LED light sources emitting centroid wavelength values of about 425
nanometers, 536 nanometers, and 725 nanometers, respectively, in which the about 425
nanometer wavelength of light serves as a liquid test sample interrogator.
[0044] Once the presence of the patient's liquid test sample is verified via light interrogation,
the sample mixture 78 (comprising the patient's liquid test sample) is then dispensed
from the capillary 18 into the reaction chamber 86 of the reaction vessel 82 via,
for example, the automated rotation and agitation of the reaction vessel 82 within
the diagnostic assay system/instrument. Following the dispensing of the patient's
liquid test sample into the reaction chamber 86 of the reaction vessel 82, at least
one diagnostic assay (such as, by way of example only, microalbumin creatinine assay(s))
is conducted on the patient's liquid test sample. In one embodiment, the at least
one diagnostic assay involves pre-determined steps in which the reaction vessel 82
is rotated in both clockwise and counter clockwise directions such that the patient's
liquid test sample is sufficiently mixed with both solid and liquid reagents associated
with at least one diagnostic assay, while various measurements are taken at pre-determined
intervals during the conductance of the at least one diagnostic assay. At the conclusion
of the at least one diagnostic assay, a volume of liquid waste is contained within
the reaction vessel 82, the volume of liquid waste primarily comprising a mixture
of the patient's liquid test sample, the solid reagent(s), and/or the liquid reagent(s)
utilized in the conductance of the at least one diagnostic assay. Subsequent to the
conclusion of the at least one diagnostic assay, the reaction vessel 82 containing
the volume of liquid waste is substantially inverted via, for example, rotation of
the reaction vessel 82 within the diagnostic assay system/instrument. This inversion
allows the volume of liquid waste to come into contact with the liquid waste collector
16, such that the volume of liquid waste is absorbed by and contained/maintained within
the liquid waste collector 16.
[0045] While shown throughout the majority of the Figures as being connected to a liquid
test sample dispensing device 10 when the solution 62 is, by way of example only,
drawn, injected, and/or placed within the capillary 18 (thereby facilitating deposition
of the sample flag (such as, by way of example only, a ferricyanide-containing compound)
on at least one inner surface 50 of the capillary 18), it should be readily understood
to a person having ordinary skill in the art that the capillaries may be separate
from the liquid test sample dispensing device(s) when the solution is drawn into,
injected into, and/or placed within the capillaries. In such instances, the capillaries
can later be connected to the liquid test sample dispensing devices(s) or can be used
for additional applications in accordance with the presently disclosed and/or claimed
inventive concept(s).
[0046] Figures 5A—5H are perspective views of an alternative embodiment of a method for
coating at least one inner surface of a plurality of capillaries with a sample flag
compound(s) via fluid communication between the at least one inner surface of the
plurality of capillaries with a solution in accordance with the presently disclosed
and/or claimed inventive concept(s). While FIGS. 5A—5H depict four separate capillaries,
it should be readily understood to a person having ordinary skill in the art that
the presently disclosed and/or claimed methodology can include any number of capillaries,
for instance, by way of example only, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14,
15, 16, 17, 18, 19, 20, 25, 30, 35, 40, 45, 50, 55, 60, 70, 75, 80, 85, 90, 95, or
greater than or equal to 100 capillaries. The capillaries may be attached to one another
via a mechanical connecting web 210. In addition, the process of sequentially disposing
the first capillary 218A, the second capillary 218B, the third capillary 218C, and
the fourth capillary 218D within a receptacle 258 containing a solution 262 comprising
and/or consisting of a sample flag compound(s), at least one protein (such as, by
way of example only, bovine serum albumin (BSA)), at least one sugar, and at least
one alcohol can be accomplished either by a manual or automated process(es) via use
of the mechanical web 210. While shown in FIGS. 5A—5H as being identical in configuration,
the first capillary 218A, second capillary 218B, the third capillary 218C, and the
fourth capillary 218D need not be the same configuration and can be of any size and/or
shape that accomplishes the presently disclosed and/or claimed inventive concept(s).
[0047] As shown in FIGS. 5A-5B, the first capillary 218A is connected to the mechanical
web 210 via, for instance, a first capillary holder 215A. The first capillary 218A
comprises at least one outer surface 246A, at least one inner surface 250A, a first
end 251A, a second end 252A, and an opening 254A located at the second end 252A for
receiving the solution 262 via, by way of example only, capillary action. As shown
in FIGS. 5A-5B, the first capillary 218A is lowered from the mechanical web 215 into
the receptacle 258 (or, in the alternative, the receptacle 258 is raised to submerge
the first capillary 218A) such that the opening 254A is submerged within the solution
262. As a result of this submersion, the solution 262 wicks through the opening 254A
(for instance, via capillary action) such that the solution 262 is in fluid contact
with at least a portion of the at least one inner surface 250A and remains (as a result
of capillary force) within the first capillary 218A for further processing in accordance
with the presently disclosed and/or claimed inventive concept(s). After the solution
262 is wicked through the opening 254A of the first capillary 218A, the second capillary
218B is transitioned so that it is capable of being disposed within the receptacle
258.
[0048] Referring now to FIGS. 5C-5D, the second capillary 218B is connected to the mechanical
web 210 via, for instance, a second capillary holder 215B. The second capillary 218B
comprises at least outer surface 246B, at least one inner surface 250B, a first end
251B, a second end 252B, and an opening 254B located at the second end 252B for receiving
the colloidal solution 262 via, by way of example only, capillary action. As shown
in FIGS. 5C-5D, the second capillary 218B is lowered from the mechanical web 215 into
the receptacle 258 (or, in the alternative, the receptacle 258 is raised to submerge
the second capillary 218B) such that the opening 254B is submerged within the solution
262. As a result of this submersion, the solution 262 wicks through the opening 254B
(for instance, via capillary action) such that the solution 262 is in fluid contact
with at least a portion of the at least one inner surface 250B and remains (as a result
of capillary force) within the second capillary 218B for further processing in accordance
with the presently disclosed and/or claimed inventive concept(s). After the solution
262 is wicked through the opening 254B of the second capillary 218B, the third capillary
218C is transitioned so that it is capable of being disposed within the receptacle
258.
[0049] Referring now to FIGS. 5E-5F, the third capillary 218C is connected to the mechanical
web 210 via, for instance, a third capillary holder 215C. The third capillary 218C
comprises at least outer surface 246C, at least one inner surface 250C, a first end
251C, a second end 252C, and an opening 254C located at the second end 252C for receiving
the colloidal solution 262 via, by way of example only, capillary action. As shown
in FIGS. 5E-5F, the third capillary 218C is lowered from the mechanical web 215 into
the receptacle 258 (or, in the alternative, the receptacle 258 is raised to submerge
the third capillary 218C) such that the opening 254C is submerged within the solution
262. As a result of this submersion, the solution 262 wicks through the opening 254C
(for instance, via capillary action) such that the solution 262 is in fluid contact
with at least a portion of the at least one inner surface 250C and remains (as a result
of capillary force) within the third capillary 218C for further processing in accordance
with the presently disclosed and/or claimed inventive concept(s). After the solution
262 is wicked through the opening 254C of the third capillary 218B, the fourth capillary
218D is transitioned so that it is capable of being disposed within the receptacle
258.
[0050] Referring now to FIGS. 5G-5H, the fourth capillary 218D is connected to the mechanical
web 210 via, for instance, a fourth capillary holder 215D. The fourth capillary 218D
comprises at least outer surface 246D, at least one inner surface 250D, a first end
251D, a second end 252D, and an opening 254D located at the second end 252D for receiving
the colloidal solution 262 via, by way of example only, capillary action. As shown
in FIGS. 5G-5H, the fourth capillary 218D is lowered from the mechanical web 215 into
the receptacle 258 (or, in the alternative, the receptacle 258 is raised to submerge
the fourth capillary 218D) such that the opening 254D is submerged within the solution
262. As a result of this submersion, the solution 262 wicks through the opening 254D
(for instance, via capillary action) such that the colloidal solution 262 is in fluid
contact with at least a portion of the at least one inner surface 250D and remains
(as a result of capillary force) within the fourth capillary 218D for further processing
in accordance with the presently disclosed and/or claimed inventive concept(s).
[0051] The above process is repeated for each capillary attached to the mechanical web 210
such that each capillary contains the solution 262.
[0052] Once the solution 262 is contained within the first capillary 218A, the second capillary
218B, the third capillary 218C, and the fourth capillary 218D (and any other capillaries
that may be attached to the mechanical web 210), the first capillary 218A, the second
capillary 218B, the third capillary 218C, and the fourth capillary 218D (and any other
capillaries that may be attached to the mechanical web 201) are heated to evaporate
off and remove the alcohol solvent contained within the solution 262. Alternatively,
the capillaries may be naturally dried at room temperature to accomplish the evaporation
of the alcohol solvent. When the capillaries are heated, the heating can be accomplished
via either: (1) by transitioning the mechanical web 210 through a heater such that
all of the capillaries are simultaneously heated; and/or (2) by removing the capillaries
from the mechanical web and placing them either individually or collectively into
a heater. However, at all times, the agitation of the capillaries must be mitigated
to ensure that solution 262 remains contained within the capillaries. At this stage,
the heating is conducted at a temperature that is high enough to evaporate the alcohol
solvent (for instance, an alcohol solvent comprising and/or consisting of methanol,
ethanol, isopropyl alcohol, and/or combinations thereof), but low enough so as not
to melt the sample flag compound(s) (for instance, ferricyanide-containing compounds,
such as potassium ferricyanide granules, which are deposited on the at least one inner
surfaces 250A, 250B, 250C, and 250D of each of the capillaries 218A, 218B, 218C, and
218D, respectively, as the alcohol solvent evaporates). In one embodiment, the at
least one alcohol (solvent) is methanol, ethanol, isopropyl alcohol, and combinations
thereof and the solution 262 contained within the capillaries 218A, 218B, 218C, and
218D is heated to and maintained at a temperature from about 20° C to about 100°,
or from about 25° C to about 95° C, or from about 30° C to about 90° C, or from about
35° C to about 85° C, or from about 40° C to about 80° C, or from about 45° C to about
75° C, or from about 50° C to about 70° C, or from about 55° C to about 65° C, or
greater than or equal to about 60° C. In one embodiment, the capillaries 218A—218D
are heated to a temperature of about 25° C to about 37° C to evaporate off and remove
the at alcohol solvent from the solution 262 contained within the capillaries 218A—218D.
The capillaries 218A—218D can be heated via any method commonly known in the art provided
that the colloidal solution 262 remains in contact with each of the at least one inner
surfaces 250A-250D of the capillaries 218A—218D prior to and during the evaporation
of the at least one alcohol (solvent), including via commercial-grade dryers and/or
vacuum dryers commonly known in the art.
[0053] Following the evaporation of the at least one alcohol (solvent) from the at least
one inner surfaces 250A-250D of the capillaries 218A—218D, a sample flag compound(s)
(for instance, ferricyanide-containing compounds, such as potassium ferricyanide granules)
is deposited on the at least one inner surfaces 250A, 250B, 250C, and 250D of each
of the capillaries 218A, 218B, 218C, and 218D, respectively
[0054] At this stage, the capillaries 218A—218D are ready to be attached to their respective
liquid test sample dispensing devices for the collection of a patient's liquid test
sample for the conductance of at least one diagnostic assay or to be used for additional
applications contemplated by the presently disclosed and/or claimed inventive concept(s).
EXAMPLES OF THE INVENTIVE CONCEPT(S)
[0055] Experimental Preparation and Setup No. 1.
[0056] In Experimental Preparation and Setup No. 1, the solutions, intermediaries, and final
capillary(-ies) were at all times protected from exposure to violet-ultraviolet (UV)
light.
[0057] Solution 1 Composition: 15 milligram/milliliter potassium ferricyanide, 6% bovine
serum albumin (BSA), and 15% sucrose.
[0058] Solution 2 Composition: methanol, ethanol, isopropyl alcohol, or other water-soluble
compound with low FeCN solubility.
[0059] Solution 1 and solution 2 are mixed with one another to thereby form a combined solution
in which the ratio of solution 1 to solution 2 is about 2.58:32.42.
[0060] About 35 microliters of the combined solution (as shown in FIG. 6) was injected via
pipette into the opening of the capillary to thereby bring the combined solution into
fluid contact with at least one inner surface of the capillary. Following injection
of the combined sample into the capillary, the capillary was subsequently dried to
evaporate the alcohol solvent (and at least portions of the BSA and sucrose) and deposit
potassium ferricyanide (sample flag) granules on the at least one inner surface of
the capillary.
[0061] Once the ferricyanide sample flag compound has been deposited on the at least one
inner surface of the capillary, a patient's urine sample is drawn into the capillary
whereby the urine sample mixes with and dissolves the ferricyanide sample flag compound
to thereby form a sample mixture. The capillary containing the sample mixture was
then interrogated with three different wavelengths of light (425 nanometers, 536 nanometers,
and 725 nanometers) and various measurements, including absorbance (and changes thereto)
associated with the sample mixture were obtained.
Experimental Results.
[0062] Referring now to FIG. 7, shown therein is a graphical representation showing the
centroid and approximate full width half max (FWHM) of three LED lights present in
diagnostic assay system/instrument overlaid on the spectrum of the ferricyanide sample
flag. As can be clearly seen in FIG. 7, the sample mixture exhibits an absorbance
shift of about 0.7 when interrogated with a LED light having a wavelength of about
425 nanometers. Conversely, the sample mixture does not show any absorbance shift
when interrogated with LED lights having wavelengths of about 536 nanometers and 725
nanometers, respectively. Accordingly, the ferricyanide sample flag compound serves
as a robust sample flag to detect the presence of a patient's liquid test sample (such
as, by way of example only, a urine sample) at a wavelength in the 425-nanometer region
without interfering with longer wavelengths (which are or can be reserved for diagnostic
assay reaction(s) monitoring). When there is no liquid test sample in the capillary,
the 425-nanometer absorbance of the sample flag compound does not appear thereby alerting
the diagnostic assay system/instrument that an error has occurred (such as, by way
of example only, the operator neglected to collect the patient's liquid test sample
within the capillary). These results are further shown and confirmed in FIGS. 8-11.
[0063] Thus, in accordance with the presently disclosed and claimed inventive concept(s),
there have been provided devices and methods that utilize at least one sample flag
compound for the detection (and/or verification of the presence) of a patient's liquid
test sample within a liquid test sample dispensing device for use in the conductance
of at least one diagnostic assay. As described herein, the presently disclosed and
claimed inventive concept(s) relate to embodiments of an improved liquid test sample
injection device comprising and/or consisting of at least one sample flag compound
present within and coated on at least one inner surface of the capillary, the at least
one sample flag compound emitting a detectable signal when interrogated by a predetermined
wavelength of light in the presence of a patient's liquid test sample. Such presently
disclosed and/or claimed inventive concept(s) fully satisfy the objectives and advantages
set forth hereinabove.
1. A capillary (18) internally coated with at least one sample flag compound for use
in at least one diagnostic assay, comprising:
at least one capillary (18), the capillary having at least one outer surface (46),
at least one inner surface (50), a first end (51), a second end (52), and opening
located at the second end (52) of the capillary (18), wherein at least a portion of
the inner surface (50) of the capillary is coated with at least one sample flag compound,
the at least one sample flag compound detecting the presence or non-presence of a
patient's liquid test sample within the capillary (18), wherein the at least one sample
flag compound is selected from the group consisting of metabisulfite, taurine, and
combinations thereof and is capable of emitting a detectable signal when interrogated
by specific wavelength(s) of visible light in the presence of a patient's liquid test
sample.
2. The capillary of claim 1, wherein the patient's liquid test sample is urine.
3. The capillary of claim 1, wherein the coating of at least a portion of the inner surface
(50) comprises at least one protein, preferably bovine serum albumin, and at least
one sugar, wherein the at least one sugar is preferably selected from the group consisting
of fructose, galactose, lactose, maltose sucrose and combinations thereof.
4. A method for coating at least one internal surface of a capillary (18) of a liquid
test sample dispensing device (10) with at least one sample flag compound, the method
comprising the steps of:
(a) preparing a solution (62), the solution comprising at least one sample flag compound,
at least one protein, at least one sugar, and at least one alcohol solvent, the solution
being contained within a receptacle (58);
(b) placing a liquid test sample dispensing device into the receptacle (58), the liquid
test sample dispensing device (10) comprising:
a capillary portion (19), the capillary portion comprising a capillary having at least
one outer surface (46), at least one inner surface, a first end (51), a second end,
and an opening located at the second end of the capillary, wherein the capillary is
in fluid contact with the solution such that a volume of the solution enters into
and is retained within the capillary via the opening such that the solution is in
fluid contact with the at least one inner surface (50) of the capillary; and
(c) removing the liquid test sample dispensing device (10) from the receptacle (58)
and heating at least the capillary portion (19) of the liquid test sample dispensing
device (10) to a temperature wherein the at least one alcohol solvent evaporates from
the solution contained within the capillary, and further wherein granules of the at
least one sample flag compound are deposited on the at least one inner surface (50)
of the capillary (18), wherein the at least one sample flag compound is selected from
the group consisting of ferricyanide, metabisulfite, taurine and combinations thereof.
5. The method of claim 4 wherein at least one flag compound comprises ferricyanide and
the at least one protein comprises bovine serum albumin (BSA).
6. The method of claim 4, wherein the at least one sample flag compound is dissolved
upon contact with a patient's liquid test sample to thereby form a sample mixture.
7. The method of claim 4, wherein the at least one sugar is selected from the group consisting
of monosaccharides, disaccharides, oligosaccharides, polysaccharides, and combinations
thereof.
8. The method of claim 4, wherein the at least one sugar is selected from the group consisting
of fructose, galactose, glucose, lactose, maltose, sucrose, and combinations thereof.
9. The method of claim 4, wherein the at least one alcohol solvent is selected from the
group consisting of monohydric, polyhydric, unsaturated aliphatic, alicyclic alcohols,
and combinations thereof.
10. The method of claim 4, wherein the at least one alcohol solvent is selected from the
group consisting of methanol, ethanol, propanol, butanol, pentanol, cetyl alcohol,
ethylene glycol, propylene glycol, glycerol, erythritol, xylitol, mannitol, volemitol,
allyl alcohol, geraniol, propargyl alcohol, inositol, menthol, and combinations thereof.
11. The method of claim 4, wherein volume of the solution entering into and retained within
the capillary (18) is about 35 microliters.
12. The method of claim 4, wherein the temperature to which the liquid test sample dispensing
device (10) is heated is in a range of from about 25° C to about 37° C, wherein the
capillary portion (19) is heated via a heater selected from the group consisting of
a commercial-grade dryer, a vacuum dryer, and combinations thereof.
13. A method for detecting the presence or non-presence of a patient's liquid test sample
within a liquid test sample dispensing device (10) prior to the conductance of at
least one diagnostic assay, the method comprising the steps of:
(a) securing a liquid test sample dispensing device (10) within a reaction vessel
(82), the liquid test sample dispensing device (10) comprising:
a capillary portion (19), the capillary portion comprising a capillary having at least
one outer surface (46), at least one inner surface (50), a first end (51), a second
end (52), and an opening located at the second end (52) of the capillary, wherein
at least a portion of the inner surface (50) of the capillary is substantially coated
with at least one sample flag compound, the at least one sample flag compound dissolving
when in contact with a patient's liquid test sample to thereby form a sample mixture
comprising the patient's liquid test sample and the at least one dissolved sample
flag compound;
(b) inserting the reaction vessel (82) into a diagnostic assay analyzer;
(c) interrogating at least the capillary portion (19) of the liquid test sample dispensing
device (10) with at least one predetermined wavelength of light; and
(d) measuring a detectable signal generated from the interrogation of the sample mixture,
the sample mixture generating the detectable signal only when a patient's liquid test
sample is present within capillary of the liquid test sample dispensing device (10),
wherein the at least one sample flag compound is selected from the group consisting
of ferricyanide, metabisulfite, taurine and combinations thereof.
14. Use of a capillary as claimed in one or more of claims 1 to 3 in a microalbumin creatinine
diagnostic assay.
1. Kapillare (18), innen beschichtet mit wenigstens einer Probensignalflaggenverbindung,
zur Verwendung bei wenigstens einem diagnostischen Assay, umfassend:
wenigstens eine Kapillare (18), wobei die Kapillare wenigstens eine äußere Oberfläche
(46), wenigstens eine innere Oberfläche (50), ein erstes Ende (51), ein zweites Ende
(52) und Öffnung, die sich am zweiten Ende (52) der Kapillare (18) befindet, aufweist,
wobei wenigstens ein Teil der inneren Oberfläche (50) der Kapillare mit wenigstens
einer Probensignalflaggenverbindung beschichtet ist, wobei mit der wenigstens einen
Probensignalflaggenverbindung das Vorliegen oder Nichtvorliegen einer flüssigen Patiententestprobe
in der Kapillare (18) nachgewiesen wird, wobei die wenigstens eine Probensignalflaggenverbindung
aus der Gruppe bestehend aus Disulfit, Taurin und Kombinationen davon ausgewählt ist
und bei Abfragen durch sichtbares Licht spezifischer Wellenlänge(n) in Gegenwart einer
flüssigen Patiententestprobe ein nachweisbares Signal emittieren kann.
2. Kapillare nach Anspruch 1, wobei es sich bei der flüssigen Patiententestprobe um Urin
handelt.
3. Kapillare nach Anspruch 1, wobei die Beschichtung wenigstens eines Teils der inneren
Oberfläche (50) wenigstens ein Protein, bevorzugt Rinderserumalbumin, und wenigstens
einen Zucker umfasst, wobei der wenigstens eine Zucker bevorzugt aus der Gruppe bestehend
aus Fructose, Galactose, Lactose, Maltose, Saccharose und Kombinationen davon ausgewählt
ist.
4. Verfahren zur Beschichtung wenigstens einer innen liegenden Oberfläche einer Kapillare
(18) einer Dispensiervorrichtung für flüssige Testproben (10) mit wenigstens einer
Probensignalflaggenverbindung, wobei das Verfahren die folgenden Schritte umfasst:
(a) Herstellen einer Lösung (62), wobei die Lösung wenigstens eine Probensignalflaggenverbindung,
wenigstens ein Protein, wenigstens einen Zucker und wenigstens ein Alkohollösungsmittel
umfasst, wobei die Lösung in einem Behältnis (58) enthalten ist;
(b) Setzen einer Dispensiervorrichtung für flüssige Testproben in das Behältnis (58),
wobei die Dispensiervorrichtung für flüssige Testproben (10) Folgendes umfasst:
einen Kapillarteil (19), wobei der Kapillarteil eine Kapillare mit wenigstens einer
äußeren Oberfläche (46), wenigstens einer inneren Oberfläche, einem ersten Ende (51),
einem zweiten Ende und einer Öffnung, die sich am zweiten Ende der Kapillare (18)
befindet, umfasst, wobei die Kapillare in Fluidkontakt mit der Lösung steht, so dass
ein Volumen der Lösung über die Öffnung in die Kapillare eintritt und darin behalten
wird, so dass die Lösung in Fluidkontakt mit der wenigstens einen inneren Oberfläche
(50) der Kapillare steht; und
(c) Entnehmen der Dispensiervorrichtung für flüssige Testproben (10) aus dem Behältnis
(58) und Erwärmen wenigstens des Kapillarteils (19) der Dispensiervorrichtung für
flüssige Testproben (10) auf eine Temperatur, wobei das wenigstens eine Alkohollösungsmittel
aus der in der Kapillare enthaltenen Lösung verdampft und weiter wobei Körnchen der
wenigstens einen Probensignalflaggenverbindung auf der wenigstens einen inneren Oberfläche
(50) der Kapillare (18) abgeschieden werden, wobei die wenigstens eine Probensignalflaggenverbindung
aus der Gruppe bestehend aus Hexacyanoferrat(III), Disulfit, Taurin und Kombinationen
davon ausgewählt ist.
5. Verfahren nach Anspruch 4, wobei wenigstens eine Signalflaggenverbindung Hexacyanoferrat(III)
umfasst und das wenigstens eine Protein Rinderserumalbumin (BSA) umfasst.
6. Verfahren nach Anspruch 4, wobei die wenigstens eine Probensignalflaggenverbindung
bei Kontakt mit einer flüssigen Patiententestprobe gelöst wird, so dass dadurch ein
Probengemisch gebildet wird.
7. Verfahren nach Anspruch 4, wobei der wenigstens eine Zucker aus der Gruppe bestehend
aus Monosacchariden, Disacchariden, Oligosacchariden, Polysacchariden und Kombinationen
davon ausgewählt ist.
8. Verfahren nach Anspruch 4, wobei der wenigstens eine Zucker aus der Gruppe bestehend
aus Fructose, Galactose, Glucose, Lactose, Maltose, Saccharose und Kombinationen davon
ausgewählt ist.
9. Verfahren nach Anspruch 4, wobei das wenigstens eine Alkohollösungsmittel aus der
Gruppe bestehend aus einwertigen, mehrwertigen, ungesättigten aliphatischen, alicyclischen
Alkoholen und Kombinationen davon ausgewählt ist.
10. Verfahren nach Anspruch 4, wobei das wenigstens eine Alkohollösungsmittel aus der
Gruppe bestehend aus Methanol, Ethanol, Propanol, Butanol, Pentanol, Cetylalkohol,
Ethylenglykol, Propylenglykol, Glycerin, Erythrit, Xylit, Mannit, Volemit, Allylalkohol,
Geraniol, Propargylalkohol, Inositol, Menthol und Kombinationen davon ausgewählt ist.
11. Verfahren nach Anspruch 4, wobei die in die Kapillare (18) eintretende und darin behaltene
Lösung ein Volumen von etwa 35 Mikrolitern aufweist.
12. Verfahren nach Anspruch 4, wobei die Temperatur, auf die die Dispensiervorrichtung
für flüssige Testproben (10) erwärmt wird, in einem Bereich von etwa 25° C bis etwa
37° C liegt, wobei der Kapillarteil (19) über ein Heizgerät, das aus der Gruppe bestehend
aus einem gewerblichen Trockner, einem Vakuumtrockenschrank und Kombinationen davon
ausgewählt ist, erwärmt wird.
13. Verfahren zum Nachweisen des Vorliegens oder Nichtvorliegens einer flüssigen Patiententestprobe
in einer Dispensiervorrichtung für flüssige Testproben (10) vor der Ausführung wenigstens
eines diagnostischen Assay, wobei das Verfahren die folgenden Schritte umfasst:
(a) Sichern einer Dispensiervorrichtung für flüssige Testproben (10) in einem Reaktionsgefäß
(82), wobei die Dispensiervorrichtung für flüssige Testproben (10) Folgendes umfasst:
einen Kapillarteil (19), wobei der Kapillarteil eine Kapillare mit wenigstens einer
äußeren Oberfläche (46), wenigstens einer inneren Oberfläche (50), einem ersten Ende
(51), einem zweiten Ende (52) und einer Öffnung, die sich am zweiten Ende (52) der
Kapillare befindet, umfasst, wobei wenigstens ein Teil der inneren Oberfläche (50)
der Kapillare weitgehend mit wenigstens einer Probensignalflaggenverbindung beschichtet
ist, wobei die wenigstens eine Probensignalflaggenverbindung gelöst wird, wenn sie
mit einer flüssigen Patiententestprobe in Kontakt steht, so dass dadurch ein Probengemisch
gebildet wird, das die flüssige Patiententestprobe und die wenigstens eine gelöste
Probensignalflaggenverbindung umfasst;
(b) Einsetzen des Reaktionsgefäßes (82) in ein Analysegerät für diagnostische Assays;
(c) Abfragen wenigstens des Kapillarteils (19) der Dispensiervorrichtung für flüssige
Testproben (10) mit wenigstens einer vorbestimmten Lichtwellenlänge; und
(d) Messen eines von der Abfrage des Probengemischs erzeugten nachweisbaren Signals,
wobei das Probengemisch das nachweisbare Signal nur dann erzeugt, wenn eine flüssige
Patiententestprobe in der Kapillare der Dispensiervorrichtung für flüssige Testproben
(10) vorliegt,
wobei die wenigstens eine Probensignalflaggenverbindung aus der Gruppe bestehend aus
Hexacyanoferrat(III), Disulfit, Taurin und Kombinationen davon ausgewählt ist.
14. Verwendung einer Kapillare gemäß einem oder mehreren der Ansprüche 1 bis 3 bei einem
diagnostischen Mikroalbumin-Creatinin-Assay.
1. Capillaire (18) recouvert intérieurement d'au moins un composé indicateur d'échantillon
à utiliser dans au moins un essai de diagnostic, comprenant :
au moins un capillaire (18), le capillaire ayant au moins une surface extérieure (46),
au moins une surface intérieure (50), une première extrémité (51), une seconde extrémité
(52), et une ouverture située à la seconde extrémité (52) du capillaire (18), dans
lequel au moins une partie de la surface intérieure (50) du capillaire est recouverte
d'au moins un composé indicateur d'échantillon, ledit au moins un composé indicateur
d'échantillon détectant la présence ou la non-présence d'un échantillon de test liquide
du patient dans le capillaire (18), dans lequel ledit au moins un composé indicateur
d'échantillon est choisi dans le groupe constitué du métabisulfite, de la taurine
et de leurs combinaisons et est capable d'émettre un signal détectable lorsqu'il est
interrogé par une (des) longueur(s) d'onde spécifique(s) de la lumière visible en
présence d'un échantillon de test liquide du patient.
2. Capillaire de la revendication 1, dans lequel l'échantillon de test liquide du patient
est de l'urine.
3. Capillaire de la revendication 1, dans lequel le revêtement d'au moins une partie
de la surface intérieure (50) comprend au moins une protéine, de préférence de l'albumine
de sérum bovin, et au moins un sucre, dans lequel ledit au moins un sucre est de préférence
choisi dans le groupe constitué du fructose, le galactose, le lactose, le maltose,
le saccharose et des combinaisons de ceux-ci.
4. Procédé de revêtement d'au moins une surface interne d'un capillaire (18) d'un dispositif
de distribution d'échantillon de test liquide (10) avec au moins un composé indicateur
d'échantillon, le procédé comprenant les étapes consistant à :
(a) préparer une solution (62), la solution comprenant au moins un composé indicateur
d'échantillon, au moins une protéine, au moins un sucre et au moins un solvant alcoolique,
la solution étant contenue dans un réceptacle (58) ;
(b) placer un dispositif de distribution d'échantillon de test liquide dans le réceptacle
(58), le dispositif de distribution d'échantillon de test liquide (10) comprenant
:
une partie capillaire (19), la partie capillaire comprenant un capillaire ayant au
moins une surface extérieure (46), au moins une surface intérieure, une première extrémité
(51), une seconde extrémité, et une ouverture située à la seconde extrémité du capillaire,
dans lequel le capillaire est en contact fluide avec la solution de sorte qu'un volume
de la solution entre dans le capillaire et y est retenu par l'ouverture de sorte que
la solution est en contact fluide avec ledit au moins une surface intérieure (50)
du capillaire ; et
(c) retirer le dispositif de distribution d'échantillon de test liquide (10) du réceptacle
(58) et en chauffant au moins la partie capillaire (19) du dispositif de distribution
d'échantillon de test liquide (10) à une température dans lequel ledit au moins un
solvant alcoolique s'évapore de la solution contenue dans le capillaire, et en outre
dans lequel des granules dudit au moins un composé indicateur d'échantillon sont déposés
sur ladite au moins une surface intérieure (50) du capillaire (18), dans lequel ledit
au moins un composé indicateur d'échantillon est choisi dans le groupe constitué du
ferricyanure, le métabisulfite, la taurine et des combinaisons de ceux-ci.
5. Procédé de la revendication 4, dans lequel au moins un composé indicateur comprend
du ferricyanure et ledit au moins une protéine comprend de l'albumine de sérum bovin
(BSA).
6. Procédé de la revendication 4, dans lequel ledit au moins un composé indicateur d'échantillon
est dissous au contact de l'échantillon de test liquide du patient pour former ainsi
un mélange d'échantillons.
7. Procédé de la revendication 4, dans lequel ledit au moins un sucre est choisi dans
le groupe constitué des monosaccharides, les disaccharides, les oligosaccharides,
les polysaccharides et les combinaisons de ceux-ci.
8. Procédé de la revendication 4, dans lequel ledit au moins un sucre est choisi dans
le groupe constitué du fructose, le galactose, le glucose, le lactose, le maltose,
le saccharose et leurs combinaisons.
9. Procédé de la revendication 4, dans lequel ledit au moins un solvant alcoolique est
choisi dans le groupe constitué des alcools monohydriques, polyhydriques, aliphatiques
insaturés, alicycliques et leurs combinaisons.
10. Procédé de la revendication 4, dans lequel ledit au moins un solvant alcoolique est
choisi dans le groupe constitué du méthanol, l'éthanol, le propanol, le butanol, le
pentanol, l'alcool cétylique, l'éthylène glycol, le propylène glycol, le glycérol,
l'érythritol, le xylitol, le mannitol, le volemitol, l'alcool allylique, le géraniol,
l'alcool propargylique, l'inositol, le menthol, et des combinaisons de ceux-ci.
11. Procédé de la revendication 4, dans lequel le volume de la solution entrant et retenu
dans le capillaire (18) est d'environ 35 microlitres.
12. Procédé de la revendication 4, dans lequel la température à laquelle le dispositif
de distribution d'échantillon de test liquide (10) est chauffé est comprise entre
environ 25° C et environ 37° C, dans lequel la partie capillaire (19) est chauffée
par l'intermédiaire d'un dispositif de chauffage choisi dans le groupe constitué d'un
séchoir de qualité commerciale, d'un séchoir à vide et de combinaisons de ceux-ci.
13. Procédé de détection de la présence ou de la non-présence d'un échantillon de test
liquide du patient dans un dispositif de distribution d'échantillon de test liquide
(10) avant la réalisation d'au moins un essai de diagnostic, le procédé comprenant
les étapes consistant à :
(a) fixer un dispositif de distribution d'échantillon de test liquide (10) dans une
cuve de réaction (82), le dispositif de distribution d'échantillon de test liquide
(10) comprenant :
une partie capillaire (19), la partie capillaire comprenant un capillaire ayant au
moins une surface extérieure (46), au moins une surface intérieure (50), une première
extrémité (51), une seconde extrémité (52), et une ouverture située à la seconde extrémité
(52) du capillaire, dans lequel au moins une partie de la surface intérieure (50)
du capillaire est substantiellement recouverte d'au moins un composé indicateur d'échantillon,
ledit au moins un composé indicateur d'échantillon se dissolvant au contact de l'échantillon
de test liquide du patient pour former ainsi un mélange d'échantillons comprenant
l'échantillon de test liquide du patient et ledit au moins un composé indicateur d'échantillon
;
(b) insérer la cuve de réaction (82) dans un analyseur d'essai de diagnostic ;
(c) interroger au moins la partie capillaire (19) du dispositif de distribution d'échantillon
de test liquide (10) avec au moins une longueur d'onde de lumière prédéterminée ;
et
(d) mesurer un signal détectable généré par l'interrogation du mélange d'échantillons,
le mélange d'échantillons générant le signal détectable uniquement lorsque l'échantillon
de test liquide du patient est présent dans le capillaire du dispositif de distribution
d'échantillon de test liquide (10),
dans lequel ledit au moins un composé indicateur d'échantillon est choisi dans le
groupe constitué du ferricyanure, le métabisulfite, la taurine et des combinaisons
de ceux-ci.
14. Utilisation d'un capillaire selon un ou plusieurs des revendications 1 à 3 dans un
essai de diagnostic de créatinine de microalbumine.